JACKSON EYE ASSOCIATES PLLC (NPI# 1184671489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184671489 |
| Entity Type | Organization |
| Organization Name | JACKSON EYE ASSOCIATES PLLC |
| Other Organization Name | JACKSON EYE ASSOCIATES, CLINTON OFFICE |
| Practice Address |
102 Clinton Pkwy Third Floor Clinton MS 39056-4730 |
| Mailing Address |
1190 N State St Suite 403 Jackson MS 39202-2413 |
| Practice Telephone | 6019249750 |
| Practice Fax Number | 6019259125 |
| Mailing Telephone | 6013532020 |
| Mailing Fax Number | 6017145110 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2013-04-01 |
| Authorized Official Name | DR. JOHN H MCVEY (MANAGING PARTNER) |
| Authorized Official Telephone | 6013532020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | JACKSON EYE ASSOCIATES PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 20061221 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03189030 | 05 |
| Other Name | Type Code |
|---|---|
| Jackson Eye Associates, Clinton Office | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972655421 | Jackson Eye Associates Pllc | Ophthalmology | 401 Baptist Drive, Suite 408, Madison, MS 39110 | 2007-01-17 |
| 1215089776 | Jackson Eye Associates Pllc | Durable Medical Equipment & Medical Supplies | 401 Baptist Dr, Ste 408, Madison, MS 39110-2013 | 2007-01-17 |
| 1831137009 | Jackson Eye Associates Pllc | Durable Medical Equipment & Medical Supplies | 102 Clinton Pkwy, Fl 3, Clinton, MS 39056-4730 | 2006-06-02 |
| 1881694354 | Jackson Eye Associates Pllc | Durable Medical Equipment & Medical Supplies | 1190 N State St, Suite 101, Jackson, MS 39202-2413 | 2005-07-27 |
| 1164428868 | Jackson Eye Associates Pllc | Ophthalmology | 1200 N State St, Suite 330, Jackson, MS 39202-2000 | 2005-06-27 |
| Street Address |
102 CLINTON PKWY THIRD FLOOR |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-4730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023572823 | Jea Optical LLC | Durable Medical Equipment & Medical Supplies | 102 Clinton Pkwy, Clinton, MS 39056-4730 | 2019-01-25 |
| 1831137009 | Jackson Eye Associates Pllc | Durable Medical Equipment & Medical Supplies | 102 Clinton Pkwy, Fl 3, Clinton, MS 39056-4730 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1821598103 | Own My Anger (oma) | Clinic/Center | 7902 Old Branch Ave Ste 107, Clinton, MD 20735-1627 | 2018-02-13 |
| 1124419296 | Jasmer Health LLC | Clinic/Center | 1536 N 1375 W, Clinton, UT 84015-6731 | 2015-02-11 |
| 1669722583 | Northern Utah Counseling | Clinic/Center | 1387 W 1800 N, Clinton, UT 84015-8942 | 2012-09-18 |
| 1437109923 | Hospital of Fulton Inc | Clinic/Center | 351 Moss Dr, Clinton, KY 42031-1321 | 2006-05-12 |
| 1558999516 | Susie Chiropractic Pllc | Clinic/Center | 3008 Lincoln Way Ste B, Clinton, IA 52732-7240 | 2020-03-27 |
| 1396379830 | Golden Valley Memorial Hospital District | Clinic/Center | 603 E Gaines Dr, Clinton, MO 64735-3205 | 2020-02-24 |
| 1114301660 | Compass Health, Inc. | Clinic/Center | 1800 Community, Clinton, MO 64735-8804 | 2015-07-15 |
| 1568854636 | Still I Rise, Inc | Clinic/Center | 9023 Woodyard Rd, Clinton, MD 20735-4208 | 2015-02-26 |
| 1174868285 | Ortonville Area Health Services | Clinic/Center | 324 Main St, Clinton, MN 56225 | 2012-11-29 |
| 1831465194 | Derek Makescry LLC | Clinic/Center | 119 N 9th St, Clinton, OK 73601-3309 | 2012-03-30 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.